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Individual

WILLIAM WAYNE CRENSHAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1525 W 2100 S, SALT LAKE CITY, UT 84119-1401
(801) 887-2400
Mailing address
PO BOX 510708, SALT LAKE CITY, UT 84151-0708
(801) 587-6600

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5904853-1205
UT

Other

Enumeration date
10/13/2006
Last updated
07/08/2007
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